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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Pelvic leiomyoma presenting as perineal hernia
S C Sistla1, R Reddy, G Sankar
1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondichery 605006, India. sarathsistla@hotmail.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 1, 2008
Summary
Primary perineal hernias are rare. Pelvic leiomyoma can herniate through the pelvic floor, presenting as perineal swelling, requiring surgical excision via an abdominoperineal approach.
Area of Science:
- Surgical case report
- Pelvic surgery
- Hernia repair
Background:
- Primary perineal hernias are uncommon and pose diagnostic difficulties.
- Perineal swelling can be the presenting symptom of a perineal hernia.
Observation:
- A 45-year-old female presented with painless perineal swelling.
- Computed tomography (CT) revealed a pelvic mass herniating into the perineum.
- Histopathology confirmed the mass as a leiomyoma.
Findings:
- The pelvic leiomyoma was successfully excised using an abdominoperineal approach.
- This case highlights leiomyoma as a potential cause of perineal hernia in females.
Implications:
- Consider pelvic leiomyoma in the differential diagnosis of primary perineal hernia in women.
- An abdominoperineal approach is recommended for surgical management of this condition.
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